Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.09 / $72.09 / $74.16	Facility	26	$72.09	$72.09	$74.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.36 / $402.08 / $603.00	Professional		$222.36	$402.08	$603.00
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $59.12 / $111.15 / $181.21	Professional	26	$59.12	$111.15	$181.21
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $163.22 / $282.87 / $375.20	Professional	TC	$163.22	$282.87	$375.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.89 / $347.29 / $830.20	Professional		$236.89	$347.29	$830.20
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $60.73 / $81.02 / $116.58	Professional	26	$60.73	$81.02	$116.58
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $178.93 / $282.76 / $627.10	Professional	TC	$178.93	$282.76	$627.10
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $114.32 / $114.32 / $114.32	Facility	26	$114.32	$114.32	$114.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.25 / $478.88 / $927.00	Professional		$213.25	$478.88	$927.00
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $50.97 / $75.70 / $139.36	Professional	26	$50.97	$75.70	$139.36
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $160.91 / $367.66 / $757.88	Professional	TC	$160.91	$367.66	$757.88
Denver HMP Facility/Professional Professional Modifier Low / Median / High Price $410.31 / $410.31 / $438.91	Professional		$410.31	$410.31	$438.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $365.95 / $825.00	Professional		$288.33	$365.95	$825.00
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $72.09 / $91.49 / $209.00	Professional	26	$72.09	$91.49	$209.00
Kaiser Permanente Facility/Professional Professional Modifier TC Low / Median / High Price $216.24 / $274.45 / $643.28	Professional	TC	$216.24	$274.45	$643.28
United Facility/Professional Professional Modifier Low / Median / High Price $297.99 / $475.19 / $925.37	Professional		$297.99	$475.19	$925.37
United Facility/Professional Professional Modifier 26 Low / Median / High Price $51.82 / $100.66 / $154.28	Professional	26	$51.82	$100.66	$154.28
United Facility/Professional Professional Modifier TC Low / Median / High Price $244.58 / $363.59 / $697.17	Professional	TC	$244.58	$363.59	$697.17